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NPI Code Detail

MEDICARE: DR. SHAWN SHAFIK GAPPY M.D.

MEDICARE: DR. SHAWN SHAFIK GAPPY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301103153MI
2207W00000XOphthalmology Physician4301103153MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578900189
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN SHAFIK GAPPY M.D.
Provider Business Mailing Address
First Line : PO BOX 795
Second Line :
City : HAZEL PARK
State : MI
Zip : 48030-0795
Country : US
Telephone Number : 248-607-3114
Fax Number : 248-307-7188
Provider Business Practice Location Address
First Line : 23411 JOHN R RD STE 4
Second Line :
City : HAZEL PARK
State : MI
Zip : 48030-1404
Country : US
Telephone Number : 248-607-3114
Fax Number : 248-307-7188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2013
Last Update Date : 02/27/2019

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